Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the Literature
Orchiepididymitis is a clinical diagnosis. The acute form secondary to sexually transmitted or enteric pathogens is well known to primary care providers. However, chronic orchiepididymitis may be secondary to genitourinary tuberculosis (TB), and physicians in countries with a low prevalence of TB mi...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/7316097 |
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| author | Michael U. Williams Ashley Burris Amy Zingalis David A. Lindholm Brian K. White |
| author_facet | Michael U. Williams Ashley Burris Amy Zingalis David A. Lindholm Brian K. White |
| author_sort | Michael U. Williams |
| collection | DOAJ |
| description | Orchiepididymitis is a clinical diagnosis. The acute form secondary to sexually transmitted or enteric pathogens is well known to primary care providers. However, chronic orchiepididymitis may be secondary to genitourinary tuberculosis (TB), and physicians in countries with a low prevalence of TB might not consider it in their differential diagnosis. Indeed, cognitive errors, such as anchoring or availability bias, may contribute to a delayed diagnosis of genitourinary TB. We present a case of chronic orchiepididymitis as a result of disseminated TB in a Cameroonian male who was visiting the United States for military training. He experienced diagnostic delay and was ultimately diagnosed by orchiectomy. Early consideration of a diagnosis of TB for chronic or recurrent orchiepididymitis in a patient with epidemiologic risk factors is of utmost importance because delayed diagnosis could lead to organ loss. |
| format | Article |
| id | doaj-art-6e0ba6c956ea45b6bf3f634b059936e9 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-6e0ba6c956ea45b6bf3f634b059936e92025-02-03T01:21:20ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/73160977316097Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the LiteratureMichael U. Williams0Ashley Burris1Amy Zingalis2David A. Lindholm3Brian K. White4Department of Medicine, San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, TX, USADepartment of Pathology, San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, TX, USADepartment of Pathology, San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, TX, USAInfectious Disease Service, Wright-Patterson Medical Center, Wright-Patterson Air Force Base, OH, USADepartment of Medicine, San Antonio Military Medical Center, Joint Base San Antonio-Fort Sam Houston, TX, USAOrchiepididymitis is a clinical diagnosis. The acute form secondary to sexually transmitted or enteric pathogens is well known to primary care providers. However, chronic orchiepididymitis may be secondary to genitourinary tuberculosis (TB), and physicians in countries with a low prevalence of TB might not consider it in their differential diagnosis. Indeed, cognitive errors, such as anchoring or availability bias, may contribute to a delayed diagnosis of genitourinary TB. We present a case of chronic orchiepididymitis as a result of disseminated TB in a Cameroonian male who was visiting the United States for military training. He experienced diagnostic delay and was ultimately diagnosed by orchiectomy. Early consideration of a diagnosis of TB for chronic or recurrent orchiepididymitis in a patient with epidemiologic risk factors is of utmost importance because delayed diagnosis could lead to organ loss.http://dx.doi.org/10.1155/2018/7316097 |
| spellingShingle | Michael U. Williams Ashley Burris Amy Zingalis David A. Lindholm Brian K. White Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the Literature Case Reports in Infectious Diseases |
| title | Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the Literature |
| title_full | Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the Literature |
| title_fullStr | Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the Literature |
| title_full_unstemmed | Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the Literature |
| title_short | Disseminated Tuberculosis Presenting as Chronic Orchiepididymitis in a Military Trainee: A Case Report and Review of the Literature |
| title_sort | disseminated tuberculosis presenting as chronic orchiepididymitis in a military trainee a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2018/7316097 |
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